Document Detail


CT-guided percutaneous vertebroplasty in the therapy of vertebral compression fractures.
MedLine Citation:
PMID:  16333624     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The purpose of this study was to determine the efficacy and safety of CT-guided percutaneous vertebroplasty in the treatment of vertebral compression fractures. The primary objectives were pain reduction and bone-cement leakage during a long-term follow-up in patients with osteoporotic vertebral compression fractures. CT-guided percutaneous vertebroplasty was carried out in 61 patients (mean age 71.4 years; range 42-83; female ratio: 73.8%) with vertebral compression fractures. Treatment was carried out on an outpatient basis. Pain, bone-cement leakage and complications were monitored and recorded. The mean follow-up time was 19.8 months (range 3-52). Paired comparison procedures were used for the analysis of the results, which showed that all patients had a significant reduction of pain. The mean visual-analogue scale (VAS) before treatment was 8.8 points (range 6.5-9.8 points). The mean VAS score after treatment was significantly reduced to 2.6 points (range 1.5-4.1 points; p<0.01). No clinical or neurological complications were documented. Minor and asymptomatic bone-cement leakage was observed in 54% of the cases. Percutaneous vertebroplasty is an efficient and safe interventional procedure which rapidly improves the mobility and quality of life of patients with vertebral compression fractures. CT-guidance is a reasonable upgrade in the treatment procedure which reduces the amount of bone-cement leakage.
Authors:
T J Vogl; D Proschek; W Schwarz; M Mack; K Hochmuth
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Publication Detail:
Type:  Journal Article     Date:  2005-12-07
Journal Detail:
Title:  European radiology     Volume:  16     ISSN:  0938-7994     ISO Abbreviation:  Eur Radiol     Publication Date:  2006 Apr 
Date Detail:
Created Date:  2006-03-13     Completed Date:  2006-09-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9114774     Medline TA:  Eur Radiol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  797-803     Citation Subset:  IM    
Affiliation:
Department of Diagnostic and Interventional Radiology, University of Frankfurt, Germany. t.vogl@em.uni-frankfurt.de
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Back Pain / etiology,  prevention & control
Bone Cements / therapeutic use
Extravasation of Diagnostic and Therapeutic Materials / prevention & control
Female
Fractures, Compression / radiography,  surgery*
Humans
Male
Middle Aged
Pain Measurement
Radiography, Interventional*
Retrospective Studies
Spinal Fractures / radiography,  surgery*
Tomography, X-Ray Computed*
Treatment Outcome
Chemical
Reg. No./Substance:
0/Bone Cements

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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